Long-term efficacy of orbital decompression for compressive optic neuropathy of Graves' eye disease

K D Carter; B R Frueh; T P Hessburg; D C Musch

doi:10.1016/S0161-6420(91)32115-8

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Long-term efficacy of orbital decompression for compressive optic neuropathy of Graves' eye disease

Journal article

Peer reviewed

Long-term efficacy of orbital decompression for compressive optic neuropathy of Graves' eye disease

K D Carter, B R Frueh, T P Hessburg and D C Musch

Ophthalmology (Rochester, Minn.), Vol.98(9), pp.1435-1442

09/1991

DOI: 10.1016/S0161-6420(91)32115-8

PMID: 1945321

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Abstract

In a retrospective evaluation of the long-term effect of transantral-ethmoidal decompression for compressive optic neuropathy, the authors evaluated visual acuity, visual fields, color vision, and motility in 30 patients (52 orbits) for a median follow-up period of 2.5 years (range, 0.6 to 6.5 years). Patients with preoperative visual acuity of 20/40 or better uniformly remained in this category and demonstrated an earlier stabilization of vision than those with poorer preoperative visual acuity. Of the ten patients whose preoperative visual acuity was 20/50 to 20/100, 80% attained acuity of 20/40 or better. In patients whose visual acuity was 20/200 or less (n = 7), 57% attained an acuity of 20/40 or better. The most common visual field defect was generalized constriction, which was noted in 43 of the 52 eyes (83%). After decompression, the preoperative visual field defect had improved or completely resolved in all but one case. Dyschromatopsia, noted in 20 eyes preoperatively, cleared in 17 (85%) postoperatively. Although the study showed that surgical decompression is beneficial, some patients may require additional modalities of treatment.

Follow-Up Studies

Optic Nerve Diseases - physiopathology

Humans

Middle Aged

Pupil Disorders - physiopathology

Male

Orbit - surgery

Treatment Outcome

Optic Nerve Diseases - surgery

Visual Acuity

Visual Fields

Adult

Female

Graves Disease - complications

Aged

Retrospective Studies

Color Perception

Longitudinal Studies

Optic Nerve Diseases - etiology

Details

Title: Subtitle: Long-term efficacy of orbital decompression for compressive optic neuropathy of Graves' eye disease
Creators: K D Carter - Department of Ophthalmology, W.K. Kellogg Eye Center, University of Michigan Ann Arbor 48105
B R Frueh
T P Hessburg
D C Musch
Resource Type: Journal article
Publication Details: Ophthalmology (Rochester, Minn.), Vol.98(9), pp.1435-1442
Publisher: United States
DOI: 10.1016/S0161-6420(91)32115-8
PMID: 1945321
ISSN: 0161-6420
eISSN: 1549-4713
Language: English
Date published: 09/1991
Academic Unit: Otolaryngology; Ophthalmology and Visual Sciences
Record Identifier: 9983980038402771

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